| Menard Medical Center, Llc | |
|
1 Centre Dr Petersburg IL 62675-9467 | |
| (217) 632-7761 | |
| (217) 632-0312 |
| Full Name | Menard Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Centre Dr, Petersburg, Illinois |
| Authorized Official Name and Position | J. Travis Dowell (VICE PRESIDENT, HCNA AND OPERATIONS) |
| Authorized Official Contact | 2177883342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menard Medical Center, Llc Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Menard Medical Center, Llc 1 Centre Dr Petersburg IL 62675-9467 Ph: (217) 632-7761 |
| NPI Number | 1437300043 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437300043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Menard Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Menard Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Memorial Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 | |
Menard Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Centre Dr, Petersburg, IL 62675 Phone: 217-632-7761 Fax: 217-632-0312 |